ANDREA ARIENNE NOURSE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001440

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

ARIENNE

Last Name

NOURSE

Business Name

ANDREA ARIENNE NOURSE

Original Issue Date

11/06/2000

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/11/2005